Individual
JACY MARIE WETERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L, CLT
Contact information
Practice address
224 ELK ST, RAPID CITY, SD 57701-7359
(605) 755-7710
Mailing address
224 ELK ST, RAPID CITY, SD 57701-7359
(605) 755-7710
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0767
SD
Other
Enumeration date
08/07/2014
Last updated
11/29/2023
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